Individual provider Active NPI

Shirishkumar N Patel, M.D.

  • Internal Medicine Physician
  • Owensboro, KY
National Provider Identifier
1477582930
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31587 Issued in KY
Practice address
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone
(270) 417-4700
Fax
(270) 417-4709
NPI assigned
Jun 30, 2006
Last updated
May 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 31587 KY
Internal Medicine Physician 207R00000X 31587 KY Primary

Addresses

Primary practice location

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811

Mailing address

1501 Copper Creek Dr
Owensboro, KY 42303-1797
Phone (270) 993-0755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, FL, GA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040318000007 KY Practitioner - Internal Medicine 4183514631 Reassigns benefits to 5 organizations
I20170612001053 FL Practitioner - Internal Medicine 4183514631 Reassigns benefits to 2 organizations
I20181206000779 GA Practitioner - Internal Medicine 4183514631 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Amago Inpatient Services LLCGroup PAC ID 7214259704, 21 clinicians
Apogee Medical Group GeorgiaGroup PAC ID 4587676945, 122 clinicians
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Practice addresses (Care Compare)

2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (954) 939-5000

2501 N Patterson St
Valdosta, GA 31602-1735
Phone (229) 333-1000

340 NW Commerce Dr
Lake City Medical Center
Lake City, FL 32055-4709
Phone (850) 719-9000

700 W Oak St
Osceola Regional Medical Center
Kissimmee, FL 34741-4996
Phone (407) 846-2266

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31587KYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC Internal Medicine CurrentSince Mar 1, 2015 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc Internal Medicine CurrentSince May 31, 2015 Accepting new patients
Apogee Medical Group, Kentucky, PSC CurrentSince Mar 1, 2026 Accepting new patients
Premier Medical Group, PSC Internal Medicine Current Accepting new patients
Deaconess Hospital Inc CurrentSince May 1, 2024 Accepting new patients
Hospital Physician Services of Florida PA Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients
Apogee Medical Group, Georgia, Inc. Internal Medicine CurrentSince Mar 15, 2020 Accepting new patients
Hospital Medicine Services of FL, LLC Hospitalist CurrentSince Apr 1, 2023 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Jul 1, 2020 Accepting new patients
Deaconess Hospital Inc CurrentSince May 1, 2024 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince May 31, 2015 Accepting new patients
Methodist Health, Inc. Past Accepting new patients
South Georgia Medical Center Inc Past Accepting new patients
Owensboro Health Medical Group, Inc Internal Medicine Past Accepting new patients
Deaconess Hospital, Inc Internal Medicine Past Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

1030 Burlew Blvd
Ste A
Owensboro, KY 42303
Phone (270) 926-2273

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1477582930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 COPPER CREEK DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031797",
            "telephone_number": "270-993-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PLEASANT VALLEY RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039811",
            "telephone_number": "270-417-4700",
            "fax_number": "270-417-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHIRISHKUMAR",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "31587",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "31587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.